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COMMENTS AND OPINIONS
Fluctuation of Intraocular Pressure as a Predictor of Visual Field Progression
Kouros Nouri-Mahdavi, MD, MS;
Felipe A. Medeiros, MD, PhD;
Robert N. Weinreb, MD
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We read with interest the article by Hong et al.1 The authors studied the functional outcomes of 408 eyes that underwent combined glaucoma and cataract surgery with insertion of an intraocular lens. The eligible eyes were required to have intraocular pressures (IOPs) below 18 mm Hg during a mean (SD) follow-up of 9.2 (3.6) years. The authors conclude that, despite a seemingly equivalent mean IOP, eyes that had a higher standard deviation of IOP (SD > 2 mm Hg) during the follow-up period were more likely to progress compared with eyes that demonstrated a lower standard deviation of IOP ( 2 mm Hg).
The role of IOP fluctuation as a predictor of glaucoma progression beyond that of mean IOP reduction is controversial. Post hoc analysis of data from the Advanced Glaucoma Intervention Study suggests that IOP fluctuation is a . . . [Full Text of this Article]
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Long-term Intraocular Pressure Fluctuation and Progressive Visual Field Deterioration in Patients With Glaucoma and Low Intraocular Pressures After a Triple Procedure
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Arch Ophthalmol. 2007;125(8):1010-1013.
ABSTRACT
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RELATED LETTER
Fluctuation of Intraocular Pressure as a Predictor of Visual Field Progression—Reply
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Arch Ophthalmol. 2008;126(8):1169-1170.
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